Laparoscopic Rectopexy For Complete Rectal Prolapse

Controversies regarding the management of rectal prolapse continue to stimulate interest in the study of its surgical treatment, as there is no single operation that is suitable for every patient with prolapse. With the evolution of laparoscopic colorectal surgery, both laparoscopic resection rectopexy and laparoscopic rectopexy with sutures or with mesh without resection has been described. This thesis was carried on forty patients with complete rectal prolapse. All the patients were submitted to full history taking, full clinical examination, barium enema and proctosigmoidscopy.All patients are divided into two groups; Group (A) patients [20 patients]; were operated by laparoscopic rectopexy without resection, 8 patients were operated by suture rectopexy, and 12 patients were operated by mesh rectopexy.Group (B) patients [20 patients]; were operated by laparoscopic sigmoidectomy and suture rectopexy for patients who have redundant sigmoid colon. Postoperatively, constipation improved in 76% of patients and the improvement in pre-operative constipation was more with resection rectopexy than with mesh or suture rectopexy.While fecal incontinence improved in 75% of patients regardless of which method was used.No recurrence was found in any of our patients post-operatively during the period of follow up.